Prognostic value and long-term variation of high sensitivity troponin T in clinically stable haemodialysis patients
High sensitivity troponin is more sensitive for predicting cardiac events but has not been looked at extensively in patients with kidney failure. We found that levels are higher in patients on dialysis with very high levels being a strong predictor of mortality.
The Wellington Life Flight Helicopter Emergency Medical Service (HEMS): a retrospective audit against new Ministry of Health criteria
The Wellington Life Flight Helicopter Emergency Medical Service staffed by Wellington Free Ambulance flight paramedics satisfies new Ministry of Health time-saving standards for patients with serious injuries or illness. Since the study, “standby mode” for the helicopter has been discontinued in favour of full activation, resulting in additional time savings. Approximately half the helicopter callouts are for injury and the remainder for a broad range of medical conditions, particularly heart attacks and other cardiac problems.
Electrophysiology assessment and radiofrequency ablation of arrhythmias in adult patients with congenital heart defects: the Christchurch experience
Babies born with congenital cardiac anomalies “hole in the heart or blue babies” are now routinely saved by cardiac surgery and live to become productive adults. However many develop heart rhythm disturbances that can be severely disabling. Conventional drug treatments are rarely effective for these heart rhythm disturbances. However most can be effectively and safely treated by cauterising the critical parts of the heart causing the rhythm disturbance.
Influence of gender and other factors on medical student specialty interest
This paper investigates the factors that influence specialty interest in final year medical students at the University of Auckland. Specialty interest differed between women and men; but both genders were equally interested in general practice. While factors influencing career choice differed by specialty, a positive clinical attachment was the most important influencing factor for all specialties.
Biases in describing residents in long-term residential aged care
There is currently no reliable information about use of residential aged care (rest-homes, private hospitals etc.) in New Zealand. Instead, policy-makers and planners base estimates of overall use on records of subsidy payments. This study used information from a survey of people living in residential aged care in Auckland combined with subsidy payment information to describe overall use in Auckland. The findings suggest that usual methods of estimation lead to undercounting residents in the region and misrepresent their care needs. The authors recommend that because of regional differences in the proportion subsidised, national estimates of use of residential care would be improved if adjusted for region.
Maternal and perinatal predictors of newborn iron status
The prevalence of iron deficiency in New Zealand women of child bearing age appears to be increasing. Iron deficiency is twice as prevalent in young New Zealand children (6 months to < 2 years old) than it is in children of the same age living in Australia, Europe or the United States. The prevalence of iron deficiency in NZ newborns is unknown. This study, conducted within the Growing Up in New Zealand child cohort study (www.gowingup.co.nz), shows that 7% of NZ newborns have iron deficiency. Newborns whose mothers consumed 3 or more servings of milk per day during pregnancy have lower iron stores at birth than newborns whose mothers who consumed fewer servings of milk.
Stroke rehabilitation services in New Zealand: a survey of service configuration, capacity and guideline adherence
We surveyed all New Zealand stroke rehabilitation units in late 2013 and asked them to describe the set-up of the unit and whether they met NZ Stroke Guideline standards for stroke rehabilitation. Overall, improvements were noted from the last survey in 2007. Further improvements are required particularly in providing more contact time with therapists in hospital and early contact with rehabilitation clinicians once they are discharged from hospital.
Riding into the future: a snapshot of elderly mobility scooter riders and how they use their scooters
This study surveyed a group of older New Zealanders who own a mobility scooter and asked them about why they purchased their scooter and how it helped them maintain their mobility in the community. The group reported using their scooters on a regular basis for shopping, banking, visiting doctor and also for recreation. A number of persons reported that they purchased their scooter when they stopped driving. Most purchased their scooters privately.
Awareness, acceptability and application of paracetamol overdose management guidelines in a New Zealand emergency department
Paracetamol is the most common pharmaceutical overdose presenting to New Zealand emergency departments and is potentially fatal. Due to the complexity of the medical management of this poisoning Australasian guidelines have been developed and widely promulgated to emergency departments. While the majority of doctors considered they were either aware of the guidelines or routinely referred to them, the guidelines were fully applied in only 19% of patients managed. Innovative approaches to support the utilisation of guidelines by frontline medical staff need to be considered.